Trauma
What are the three components of the "Trauma Triad of Death?"
What is Hypothermia, Impaired blood clotting, and Acidosis?
This medication is recommended early in significant traumatic hemorrhage, ideally within 3 hours of injury.
What is Tranexamic Acid (TXA)?
A patient arrives with chest pain. According to DVL ED's quality metrics and best practices, this EKG should be completed within how many minutes of arrival?
What is 10 minutes?
A patient arrives with facial swelling, wheezing, hypotension, and a known peanut allergy. What happens next?
What is IM epinephrine administration?
Most important time in stroke evaluation is what?
What is Last Known Well?
During the primary survey, a trauma patient is speaking clearly in full sentences. Which component of ABCDE assessment has already been partially evaluated?
What is Airway?
A patient is bradycardic at 30 bpm, dizzy, and hypotensive. What happens next?
What is atropine administration? (I will also accept placing the patient on defib pads.)
In a patient with unstable ventricular tachycardia and a pulse, this intervention takes priority over antiarrhythmic medication.
What is a synchronized cardioversion?
A patient suddenly becomes confused and develops unilateral weakness while in the waiting room. What happens next?
What is activation of a stroke code?
Common first sign of shock in children?
What is tachycardia?
A trauma patient becomes hypotensive and tachycardic after a pelvic fracture is identified. This source of hemmorhage should be strongly suspected.
What is pelvic bleeding/retroperitoneal hemmorhage?
Most important factor when dosing many pediatric medications is what?
What is weight?
During a mass casualty incident, patients with immediate life-threatening but potentially survivable injuries are typically assigned this triage category.
What is Red (Immediate)?
A patient presents with altered mental status. Vital signs are stable, and no history is available. What bedside test should be performed immediately?
What is a point of care glucose?
True or False: Asking about suicide increases suicidal thoughts.
What is False.
During the primary survey, what is the first intervention for a trauma patient with an expanding neck hematoma and stridor?
What is securing the airway?
What is calcium gluconate?
A febrile infant under 28 days old arrives to the ED. Why is this patient high risk?
EMS arrives with an unresponsive patient whose respiratory rate is 4 breaths per minute and whose pupils are pinpoint. What happens next?
A restless patient may be showing an early sign of what?
What is hypoxia or shock?
What is repeating the primary survey and assessing/searching for evolving hemorrhage?
This medication is often chosen when hypotension is accompanied by poor cardiac contractility.
What is dobutamine?
A patient arrives with fever, low blood pressure, and confusion. Name the 3 next steps:
1.) Establish IV access
2.) Obtain labs/cultures (all before any abx administration)
3.) Begin fluid resuscitation
A 25 y/o arrives after a high-speed MVC. BP 78/42, HR 142. Airway is patent. Breath sounds are equal. FAST is negative. Pelvis is unstable on exam. What is the most likely source of shock and what three main actions should happen immediately?
What is pelvic hemorrhage?
1.) Hemorrhage control (pelvic binder)
2.) Activate emergent blood
3.) Activate transfer and/or transport
A toddler with unilateral wheezing should make you suspect what?
What is foreign body aspiration?